23D2253454 CLIA NUMBER - MDSLIVENOW PLLC

Laboratory Demographics

  • CLIA Code: 23D2253454
  • Facility Name: MDSLIVENOW PLLC
  • Facility Address: 4100 WOODWARD AVENUE
    DETROIT, MI
    ZIP 48201
  • Facility Phone: 313 974-6533
  • Facility Type: Other - COVID TEST SITE
  • Facility Type: Waiver
  • Lab Director: HASSAN A. BAZZI
  • NPI Number: 1215688965
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D2253454
LAB Type Other - COVID TEST SITE
Facility Name MDSLIVENOW PLLC
Street 4100 WOODWARD AVENUE
City DETROIT
State MI
ZIP 48201
Phone 313 974-6533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Other - COVID TEST SITE
Lab Director HASSAN A. BAZZI

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This page was last updated on: 9/29/2025